| NPI | 1164694584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2085R0001X  (Licence: MI 5101006356)  | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 5101006356)  | 
| 2085R0203X Radiology, Therapeutic Radiology (Licence: MI 5101006356)  | |
| Enumeration Date | 2008-03-26 | 
| Last Update Date | 2008-03-26 |