NPI | 1487035747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD60771644) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263029) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2020-06-09 |