| NPI | 1477633386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: AZ 42470) |
| Additional Taxonomies | 2085R0001X (Licence: WA MD61259566) |
| 2085R0205X Radiology, Radiological Physics (Licence: UT 48730081205) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-03-18 |