| NPI | 1407989742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2008016361) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WV 12836) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-09-22 |