| NPI | 1528250883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.206004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.1.EKL-IM) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 47647) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2013-07-11 |