| NPI | 1528220985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101257296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054381) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.122000) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2014-11-05 |