| NPI | 1710266648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MT198958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198958) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |