| NPI | 1922118033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: PA MD469511) |
| Additional Taxonomies | 2085R0001X (Licence: NY 183949) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 183949) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA06934900) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-05-03 |