| NPI | 1174790489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: FL ME122190) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX S7006) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2024-06-07 |