| NPI | 1508395617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0116031622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017016931) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D93464) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-05-21 |