| NPI | 1659577716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME112887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190584) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101251828) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 80618) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-02-19 |