| NPI | 1972863934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60640407) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA MD60640407) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-06-30 |