| NPI | 1942586334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 249443) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 249443) |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2011-10-29 |