| NPI | 1316357932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S4206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015832) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS19770) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-09-28 |