| NPI | 1760833651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T5993) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 267145) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-02-08 |