| NPI | 1770542797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301060673) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MI 4301060673) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-11-09 |