| NPI | 1952714065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A152178) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R74506) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2025-06-13 |