| NPI | 1821387770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301099244) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A122600) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2020-02-25 |