| NPI | 1972739001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA 113466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL18706) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD18981) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 29776) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-39604) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO 57945) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2017-04-07 |