| NPI | 1245723279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD481866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216489) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-08-07 |