| NPI | 1689179046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 14228133-1204) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 34.014400) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-07-17 |