| NPI | 1922528108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A176191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271314) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA A176191) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-08-09 |