| NPI | 1992739635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: FL 108537) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: FL 108537) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-01-28 |