| NPI | 1407857832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX F1815) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX F1815) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: TX F1815) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-08-10 |