| 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 |