| NPI | 1265409122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 107116) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 107116) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-01-10 |