| NPI | 1093212003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-00041) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 11414332-1205) |
| 207R00000X Internal Medicine (Licence: ID 1093212003) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2024-09-18 |