| NPI | 1215357678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A168444) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A168444) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2022-08-18 |