| NPI | 1992913974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 13867553-1205) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A100055) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A100055) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2009-0632) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NM MD2009-0632) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-05-23 |