| NPI | 1730476854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 29235) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 6690) |
| 207R00000X Internal Medicine (Licence: NE 6533) | |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2018-06-22 |