| NPI | 1336162015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: NJ 25MB06306300) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: NY 220128) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-06-28 |