| NPI | 1912568619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 8723) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 100067) |
| 208600000X Surgery (Licence: MO 2019022858) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-06-11 |