| NPI | 1871695700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME77427) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA G33257) |
| 2085R0001X Radiology, Radiation Oncology (Licence: OH 042858) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2018-05-01 |