| NPI | 1730173121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL MD20068) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00020068) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME90123) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2016-10-19 |