| NPI | 1033504006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2022018102) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.138956) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KS 04-46054) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-07-27 |