NPI | 1447219878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME156131) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101276310) |
2085R0001X Radiology, Radiation Oncology (Licence: NM MD2012-0012) | |
2085R0001X Radiology, Radiation Oncology (Licence: WV 21776) | |
2085R0001X Radiology, Radiation Oncology (Licence: IN 01063079A) | |
208D00000X General Practice (Licence: NM MD2012-0012) | |
Enumeration Date | 2006-03-23 |
Last Update Date | 2023-01-23 |