| NPI | 1043660970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 287843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268468) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 23233) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-11-22 |