| NPI | 1710243696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA A176926) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX R9589) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX R9589) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-01-11 |