NPI | 1003831066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101241105) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0087550) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-01-27 |