| NPI | 1871690909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: VA 0101043517) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: DC MD11950) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-10-30 |