| 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 |