| NPI | 1801876560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX R7685) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 219703) |
| 2085R0001X Radiology, Radiation Oncology (Licence: MA 214754) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-02-06 |