| NPI | 1407101678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD168019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-060995) |
| 2085B0100X Radiology, Body Imaging (Licence: OR MD168019) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR PG163551) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2017-07-28 |