| NPI | 1588649479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL FLME68845) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL FLME68845) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-09-21 |