| NPI | 1245556745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NC 2017-01644) |
| Additional Taxonomies | 2084N0600X (Licence: NE 32370) |
| 2084N0600X (Licence: GA 76584) | |
| 2084N0600X (Licence: CO DR.0063470) | |
| 2084N0600X (Licence: MT MED-PHYS-LIC-80882) | |
| 2084N0600X (Licence: RI MD20867) | |
| 2084N0600X (Licence: IN 01083429A) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2025-11-03 |