| NPI | 1447609524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A171533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211736) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-08-02 |