| NPI | 1477998607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 73793) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 291884) |
| 207R00000X Internal Medicine (Licence: PA MT203411) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-09-10 |