| NPI | 1710470695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-01751) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME169275) |
| 207R00000X Internal Medicine (Licence: SC LL52684) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC RTL19-0209) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-02-05 |