| NPI | 1548605215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 135615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73809) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-07-21 |