| NPI | 1093165664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 54909) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R75790) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-09-28 |