| NPI | 1245678507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301105350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204993) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-01-08 |