NPI | 1063709558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX R3994) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R3994) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2022-08-29 |