| NPI | 1841649621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME150423) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 271897) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-07-06 |