| NPI | 1700235769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD476517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211339) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 226749) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-08-02 |