| NPI | 1245974914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: RI LP05901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC RTL22-0115) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-07-09 |