| NPI | 1811202898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD457811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt197417) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2016-06-03 |