| NPI | 1134278849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD438058) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CT 45473) |
| 207U00000X Nuclear Medicine (Licence: PA MT186720) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-08-22 |