| NPI | 1871989517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BP10052631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052631) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2021-10-20 |