| NPI | 1063906527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61403669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114568) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301502492) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-10-03 |