| NPI | 1124002423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: NC 200001098) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NC 200001098) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-01-08 |