| NPI | 1144515693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A1124764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059534) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2016-09-21 |