| NPI | 1154056760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL TRN35338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN35338) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2024-06-07 |