| NPI | 1699970392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MO 202008453) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 202008453) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 251497) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 251497) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-01-10 |