| 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 |