| NPI | 1730707373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ R78106) |
| Additional Taxonomies | 2085N0700X (Licence: AZ R78106) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2025-10-17 |