NPI | 1043579204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60935288) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 266162) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2019-07-19 |