| NPI | 1972954188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: RI MD19053) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD19053) |
| 208600000X Surgery (Licence: RI LP03696) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-03-31 |