| NPI | 1164681862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX S2198) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D71613) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-03-16 |