| NPI | 1871908806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MT 112284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260917) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2024-04-08 |