| NPI | 1790989556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CO 0045970) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 45970) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 228519) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2021-06-02 |