| NPI | 1306023809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 38411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191975) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-08-30 |