| NPI | 1710471339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A184540) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301114592) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA W23025607C) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-10-03 |