| NPI | 1093058992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME136995) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OH 57.025175) |
| 207R00000X Internal Medicine (Licence: IL 125063806) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-01-04 |