| NPI | 1528684875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 102232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT020332) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2026-03-31 |