| NPI | 1033771092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101286219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8474) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2025-09-15 |