| NPI | 1023146420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2021-00530) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A97226) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-02-24 |