| NPI | 1851347959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 322965-1205) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 322965-1205) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-8444) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-10-10 |