| NPI | 1194958751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS017392) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C2-0009547) |
| 207R00000X Internal Medicine (Licence: PA OT012820) | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2026-06-29 |