| NPI | 1952745762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R4841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29941) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2019-07-18 |