| NPI | 1306164249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T8298) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018024297) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2018024297) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2024-06-03 |