| NPI | 1689920464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 82380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.060992) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2017-01250) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-12-07 |