| NPI | 1184185779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA 1184185779) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61564661) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-02-27 |