| NPI | 1891906145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME171310) |
| Additional Taxonomies | 2085N0904X (Licence: PA MD431384) |
| 2085N0904X (Licence: OH 35092479) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-07-15 |