| NPI | 1043691702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S9544) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA 60566277) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2021-09-07 |