| NPI | 1538208384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY 32652) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 24249) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 32652) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-06-22 |