| NPI | 1447691860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 50057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74026) |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2019-07-17 |