| NPI | 1013017391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 39662) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 39662) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-08-27 |