| NPI | 1801258306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 55352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08932) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 94-08932) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-01-31 |