| NPI | 1750801031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME154441) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 308820) |
| 208600000X Surgery (Licence: SC LL41098) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-04-03 |