| NPI | 1720367857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D81284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098913) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2016-07-22 |