| NPI | 1245761964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: KY R4648) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY R4626) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2021-12-27 |