| NPI | 1528313558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: PA MD470854) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MA 278083) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 278083) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2024-06-11 |