| NPI | 1083283535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 72214) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-12219) |
| Enumeration Date | 2021-06-20 |
| Last Update Date | 2022-08-02 |