| NPI | 1710240106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A149980) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.135531) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 247291) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-01-10 |