| NPI | 1689100778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A169720) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A169720) |
| 208600000X Surgery (Licence: PA MT212843) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-05-16 |