| NPI | 1962866673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: AZ 70985) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: KY 53052) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 125067945) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-04-15 |