| NPI | 1811350218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: SD 12820) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MN 62412) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-07-21 |