| NPI | 1902169287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D88782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252577) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A153247) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2021-08-11 |