| NPI | 1750595138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 69830) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.123740) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 72338) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 123740) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0071702) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TN 69830) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NJ 25MA10150300) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-01-19 |