| NPI | 1417361304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301116262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260597) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2019-07-11 |