| NPI | 1982645131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G36279) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA G36279) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-02-10 |