| NPI | 1164734000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 54623) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 105683) |
| 207R00000X Internal Medicine (Licence: NE 6319) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2020-08-20 |