| NPI | 1245673326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A160448) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160448) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA A160448) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-05-17 |