| NPI | 1972940898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NC 2019-00382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204756) |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2019-05-17 |