| NPI | 1972804524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D79209) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NH 18763) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2020-06-17 |