| NPI | 1912015991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: WA MD00033240) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD16061) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |