| NPI | 1558575134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301087598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087598) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-07-22 |