| NPI | 1942328414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: MI 4301087783) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301087783) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087783) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-05-21 |