| NPI | 1851385249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35059901) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: KY 33629) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IN 01056825A) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2021-04-19 |