| NPI | 1306068697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A108128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134658) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A108128) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-02-15 |