| NPI | 1093210528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0072032) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WY 16625A) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NE 36129) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-04-30 |