| NPI | 1346775632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101279039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51239) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-02-19 |