| NPI | 1558922047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD61350582) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: WA MD61350582) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-08-29 |