NPI | 1093706145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME115816) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL ME115816) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 191648) | |
Enumeration Date | 2005-10-28 |
Last Update Date | 2020-03-24 |