| NPI | 1124313762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX BP10039721) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P5695) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2019-01-02 |