| NPI | 1073792974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 200700580) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NC 2007-00580) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2012-08-10 |