| NPI | 1750815650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 77563) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 77563) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2026-07-09 |