| NPI | 1164694584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (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 |