| NPI | 1093006603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: LA 301864) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 74019-20) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-01-06 |