NPI | 1942511456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MS 26427) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL OS15269) |
2085R0202X Radiology Diagnostic Radiology (Licence: MS 26427) | |
2085R0204X Radiology Vascular & Interventional Radiology (Licence: FL OS15269) | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2023-12-05 |