| NPI | 1689674699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: TX J6088) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: TX J6088) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2023-06-05 |