| NPI | 1669760393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0081030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099078) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD045721) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301099078) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-12-14 |