| NPI | 1932561180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: MO 2021050871) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2017016689) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2021050871) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2022-08-16 |