| NPI | 1639441215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: NY 283200) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MD D80711) |
| 2085N0700X Radiology Neuroradiology (Licence: NY 283200) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2023-04-03 |