| NPI | 1669521191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: CA C151875) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PA MT188957) |
| 207U00000X Nuclear Medicine (Licence: PA MD444163) | |
| 207U00000X Nuclear Medicine (Licence: CA C151875) | |
| 2085B0100X Radiology, Body Imaging (Licence: CA C151875) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C151875) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-04-07 |