| NPI | 1962750265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2016014660) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MO 2016014660) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2023-01-17 |