NPI | 1770699605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD009376E) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: PA md009376E) |
2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA08110400) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2022-07-12 |