| NPI | 1699034710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD16115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201499) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 270251) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-03-12 |