| NPI | 1093370710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 250462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 250462) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2020-05-02 |