| NPI | 1912389008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 2970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264427) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 68778) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-01-25 |