| NPI | 1558598987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA ML60178552) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: HI MDR-5719) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2010-09-03 |