| NPI | 1972918118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI DO00948) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13618) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 286603) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL UO4283) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-12-09 |