| NPI | 1386050185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: SD 11964) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 59458) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WY 12749A) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MN 59458) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2020-04-29 |