| NPI | 1730530080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 90435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268732) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-06-28 |