| NPI | 1740593458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A116266) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT194299) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OR 160765) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2014-07-02 |