| NPI | 1073953204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 66618) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: MO 2013020687) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2024-03-14 |