| NPI | 1780842450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: IA 41077) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IA 41077) |
| 2085B0100X Radiology Body Imaging (Licence: IA 41077) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2015-06-24 |