NPI | 1104169515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: NJ 25MA10365100) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: NY 294204) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2019-09-10 |