| NPI | 1922346923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A121732) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NC 2015-00752) |
| 2085R0001X Radiology, Radiation Oncology (Licence: SC 38102) | |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2015-08-26 |