| NPI | 1790992295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 66436) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 52856) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-10-13 |