NPI | 1033614623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD481746) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA11866100) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD481746) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-08-30 |