| NPI | 1205403268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A182244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10077012) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2026-07-01 |