| NPI | 1245767300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 32095201) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT213389) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-04-11 |