| NPI | 1457574741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: NJ 25MA04949100) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: PA MD039786L) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-06-19 |