| NPI | 1225358096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 63306) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME136732) |
| 208600000X Surgery (Licence: RI LP02019) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2022-03-15 |