| NPI | 1861406845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: AL MD9787) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AL 00009787) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-12-05 |