| NPI | 1548502446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: ID M14673) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-14673) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 60585504) | |
| 208600000X Surgery (Licence: WA MDRE.ML.60375715) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2020-11-25 |