| NPI | 1366670507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX Q2751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009013696) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-09-17 |