| NPI | 1689169898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: WI 81792) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301116024) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-11506) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-07-11 |