| NPI | 1770740854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00046837) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WA MD00046837) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WY 16276C) | |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2024-07-17 |