| NPI | 1760892624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 65139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050830) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-08-20 |