NPI | 1104024256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 35177) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD35510) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2016-11-18 |