| NPI | 1043471972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WI 5751820) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 5751820) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IA MD40484) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MN PY58702) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MN PY58702) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IA MD40484) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2015-01-26 |