| NPI | 1215093752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CT 52131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT189339) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 52131) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-06-21 |