| NPI | 1588321525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: SC 4207) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 4207) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2023-09-13 |