| NPI | 1780827212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101270650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7429) |
| 207R00000X Internal Medicine (Licence: FL ME117986) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-7429) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2021-08-02 |