| NPI | 1639587371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD16941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207087) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1017279) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 279733) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2023-11-08 |