| NPI | 1245499425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MA 243425) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 243425) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WV 30543) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-12-15 |