| NPI | 1689104952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301509657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070165) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-08-02 |