| NPI | 1306681960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2025020863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024023745) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-06-26 |