| NPI | 1700319324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A157692) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A157692) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: HI MD-23432) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-04-05 |