| NPI | 1821520131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 102121) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D98775) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D98775) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2026-03-05 |