| NPI | 1518537042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2022022116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021023726) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2022-06-30 |