| NPI | 1396987228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD 60236661) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA 60236661) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2019-04-01 |