| NPI | 1134613730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: ME MD26872) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NH 25239) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-03-28 |