| NPI | 1366534653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL 96678) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: GU M-2325) |
| 2085R0001X Radiology, Radiation Oncology (Licence: GU EMTL-2022-024) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-08-31 |