| NPI | 1124475678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: KS 04-45824) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2022-08-29 |