| NPI | 1396081857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD463798) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA mt200201) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2018-10-01 |