| NPI | 1467689042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD15967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240887) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2019-04-04 |