| NPI | 1619456415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BP20069067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10064489) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-08-02 |