| NPI | 1548465792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2012-00690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 29983) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 29983) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-05-17 |