| NPI | 1386843241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: SC 29745) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL29745) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2019-04-03 |