| NPI | 1851705479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: NC 2015-02150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30693) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2015-02150) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-01-29 |