| NPI | 1295963965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS021301) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006122) |
| 207R00000X Internal Medicine (Licence: PA OT017313) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2021-09-01 |