NPI | 1417164005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME145863) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 49635) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 49635) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2023-06-28 |