| NPI | 1881188373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 76650) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 95119) |
| 208600000X Surgery (Licence: MO 2018020015) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-05-05 |