NPI | 1841646601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: PA MD474392) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: NJ 25MA11078900) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2021-11-03 |