| NPI | 1164842985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S2282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6842) |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2021-01-11 |