| NPI | 1881866341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CA A84819) |
| Additional Taxonomies | 174400000X Specialist |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A84819) | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2015-07-28 |