| NPI | 1376516708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 150623) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 150623) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-06-19 |