NPI | 1003084971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME155388) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: LA MD.200402) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2022-08-03 |