NPI | 1164685004 |
---|---|
Former Name | SOPHY Y HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: MS 22147) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IL 125053930) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2021-08-16 |