| NPI | 1922004001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME35608) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0035608) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2015-06-03 |