| NPI | 1093965329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: PA MD430967) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 259432) |
| 208600000X Surgery (Licence: NY 259432) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2019-12-26 |