| NPI | 1275023863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X (Licence: FL 165517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76843) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 165517) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-01-05 |