| NPI | 1982689410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 226601) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TX N3084) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2009-12-07 |