| NPI | 1720159593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: DC MD 32700) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 15771) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-07-10 |