| NPI | 1770564734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: AL MD 15782) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AL 15782) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME91309) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2016-10-14 |