| NPI | 1184364663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: WA MD61567400) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA MD61567400) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2024-06-21 |