NPI | 1528363108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS018885) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013550) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 5101019530) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC DO034553) | |
Enumeration Date | 2011-01-13 |
Last Update Date | 2018-03-17 |