| NPI | 1811150477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018024910) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-36422) |
| 207R00000X Internal Medicine (Licence: KS 9406983) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-12-01 |