| NPI | 1861759029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301108440) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01079865A) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-02-05 |