| NPI | 1396308763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 316327-01) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WA MD.MD.70111705) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2026-06-17 |