| NPI | 1083791750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A104368) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 26902) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL A104368) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-06-15 |