| NPI | 1609616754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10089877) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025025552) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-06-26 |