| NPI | 1619538808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1017964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04755) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2026-07-28 |