| NPI | 1134373384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C170523) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA C170523) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 245556) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2022-10-24 |