| NPI | 1841228418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: FL ME121292) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 48268) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MN 48268) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-06-30 |