| NPI | 1679733422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CT 049596) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MT189860) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2011-07-21 |