| NPI | 1609188358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0056759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244625) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2016-11-01 |