| NPI | 1558996652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT224954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289044) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2022-06-30 |