| NPI | 1699854596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: CA A98329) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 221442) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-12-01 |