| NPI | 1316478241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: SC 91700) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: GA 81677) |
| 2085N0904X Radiology Nuclear Radiology (Licence: GA 81677) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-09-11 |