| NPI | 1720491491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2025-00750) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA TR60561553) |
| 2085N0904X (Licence: CA A157163) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2025-10-02 |