| NPI | 1467987727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-114887) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 10983218-1205) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-09-27 |