| NPI | 1841786472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MT218931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072907) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2019-07-17 |