| NPI | 1588959183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0055464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL3931) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-00250) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-03-17 |