| NPI | 1104276351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 39825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39825) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME134433) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-01-24 |