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 |