| NPI | 1912140724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD458555) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 72692) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 285409) | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2016-06-30 |