| NPI | 1588615082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036107195) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L7025) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01092053A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 246940) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-04-12 |