| NPI | 1396872024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2011-01417) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NM MD2011-0736) |
| 207R00000X Internal Medicine (Licence: SC 28858) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-10-15 |