| NPI | 1841583796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX Q2545) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX BP10040572) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-08-10 |