| NPI | 1790824720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NM MD2008-0801) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NM MD2008-0801) |
| 207U00000X Nuclear Medicine (Licence: MO 2008014000) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NM 2003-0299) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-02-15 |