| NPI | 1811969868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD060073L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD060073L) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-04-12 |