| NPI | 1942539853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A109597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 109597) |
| 2085N0904X (Licence: CA A109597) | |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2021-08-16 |