| NPI | 1982134219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 291929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271279) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-06-23 |