NPI | 1932630647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101285119) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0070244) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 104347) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D0103240) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0070244) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2025-07-10 |