| NPI | 1407082712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IA MD-41810) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-8667) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IA R-8994) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2014-06-17 |