| NPI | 1700013893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P8950) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX P8950) |
| 207R00000X Internal Medicine (Licence: TX BP1-0035587) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2025-07-28 |