| NPI | 1457315533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 8122) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G79975) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AK 8122) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-09-24 |