| NPI | 1932129525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NV 26354) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 26354) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA md425458) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD425258) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-09-24 |