| NPI | 1164926176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL TRN26078) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 208811) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-05-21 |