NPI | 1104053099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301104307) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 252370) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2021-06-25 |