| NPI | 1497169098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 37150) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 37150) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-12-07 |