| NPI | 1043062615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 3016575) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 3016575) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MA 3016575) | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |