| NPI | 1154657278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA 129967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034484) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2021-11-04 |