| NPI | 1609216969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A136768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02918) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI LP02918) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-06-19 |