| NPI | 1073018073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A183904) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A183904) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U0002) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX U0002) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-02-09 |