| NPI | 1184043648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MA T289788) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 266987) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-08-13 |