| NPI | 1639521933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03818) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-05-24 |