| NPI | 1407017627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC MD31031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL31031) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101254319) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2017-02-14 |