| NPI | 1962493874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TN MD53212) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 77022) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-05-02 |