| NPI | 1376760306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 69323) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM a-1505-09) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NM A-1505-09) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2026-02-20 |