| NPI | 1972031631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 57561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76155) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-08-02 |