| NPI | 1801388855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 290853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215275) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-12-13 |