| NPI | 1649699695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A161796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315977) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2023-07-17 |