| NPI | 1538573894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 81726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116027096) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2022-05-17 |