| NPI | 1659729564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: WA MD60998671) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60998671) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-05-10 |