| NPI | 1003295239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 39092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016512) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2020-11-24 |