| NPI | 1821614892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1022216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284694) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-01-21 |