| NPI | 1063675726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101269873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT193435) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT193435) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2021-09-13 |