| NPI | 1659743334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2019-00925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 21931) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-03-10 |