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