| NPI | 1902068588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: UT 9003538-1205) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD441005) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-11-23 |