| NPI | 1962883470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0066501) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A168907) |
| 208600000X Surgery (Licence: MA L-263591) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-09-21 |