| NPI | 1508859703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: FL ME59197) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME59197) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-09-16 |