| NPI | 1558058719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ R80120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R80120) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-06-07 |