| NPI | 1710477559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V1851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10063729) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1014585) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2024-10-14 |