| NPI | 1114279783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q4133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO 3273) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2019-07-22 |