| NPI | 1720289994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD445034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190064) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-17 |