| NPI | 1033646971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 77160) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.070606) |
| 207R00000X Internal Medicine (Licence: IL 125070606) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-01-02 |