| NPI | 1700922879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MA 50589) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D62513) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-01-31 |