| NPI | 1477784056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301095360) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MI 4301095360) |
| 207R00000X Internal Medicine (Licence: MI 4301095360) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX Q6145) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2018-10-03 |