| NPI | 1588393714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 13509677-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 310168) |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2023-08-14 |