| NPI | 1508250515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 92955) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 92955) |
| 208600000X Surgery (Licence: MS T2942) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-09-08 |