| NPI | 1902162498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 269476) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: RI MD14721) |
| 207R00000X Internal Medicine (Licence: NY 39020000) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-12-17 |