| NPI | 1215165170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.204951) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT195542) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-10-09 |