| NPI | 1659501419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q7309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195682) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 6428) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 261956) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2020-08-04 |