| NPI | 1598557779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 5151017275) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5151017275) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-22 |