| NPI | 1396031803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 123808) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248208) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2016-04-02 |