| NPI | 1740230291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G80928) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G80928) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA G80928) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-12-13 |