| NPI | 1164604542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0069348) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A99967) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: UT 11785660-1205) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: UT 11785660-1205) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-08-16 |