NPI | 1013972991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME164187) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07373700) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 220048) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2024-08-20 |