| NPI | 1710419767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0074610) |
| Additional Taxonomies | 2085N0904X (Licence: CO DR.0074610) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U3592) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0074610) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-04-03 |