| NPI | 1821115304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AL 35435) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2004) |
| 2085R0001X Radiology, Radiation Oncology (Licence: LA 205177) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-02-01 |