| NPI | 1710546254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS023750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT019175) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2024-08-08 |