| NPI | 1164455473 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX L8012) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L8012) | 
| Enumeration Date | 2006-07-09 | 
| Last Update Date | 2012-08-01 |