| NPI | 1912096868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KS 05-33195) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 2977-321) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-07-31 |