| NPI | 1932375805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD61336649) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NM MD2013-0600) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2023-02-01 |