| NPI | 1285250019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2022009962) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2020017734) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-03-26 |