| NPI | 1316934649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AR C7501) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: AR C7501) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2011-12-07 |