| NPI | 1689884207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX N8137) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TX 42753) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD429158) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2017025869) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD429158) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2017025869) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-07-05 |