| NPI | 1932762176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS17569) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL UO6808) |
| 208600000X Surgery (Licence: FL UO6808) | |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2023-04-27 |