| NPI | 1477058113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A163754) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0073128) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A163754) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-06-24 |