| NPI | 1396906079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D92494) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D92494) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301102733) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 51896) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY 51896) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2022-01-24 |