| NPI | 1669059382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1026048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289529) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2026-03-17 |