| NPI | 1356080899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 58.033101) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5151015854) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-12-03 |