| NPI | 1629599865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 68073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL41114) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291493) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-08-16 |