| NPI | 1104125368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D78332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 1457) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2021-10-19 |