| NPI | 1417798489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC ll92226) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC ll92226) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-17 |