| NPI | 1720064652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX M1466) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0050065) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX M1446) | |
| 208D00000X General Practice (Licence: TX M1446) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-10-13 |