| NPI | 1073976767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301504416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1467713578) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-03-02 |