| NPI | 1376064766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 12957369-1205) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: IA MD-46824) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-12-12 |