| NPI | 1457911885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0116034532) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL82787) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-03-05 |