| NPI | 1245213529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A104266) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A104266) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME88842) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 231176) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2015-07-22 |