| NPI | 1417337601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD17646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263241) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 287968) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-01-30 |