NPI | 1962850594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 277479) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267081) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2023-03-08 |