| NPI | 1447810346 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-51424) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11542) | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 1447810346) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1018823) | |
| Enumeration Date | 2019-06-13 | 
| Last Update Date | 2025-01-15 |