NPI | 1104854280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD065742L) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: PA MD065742L) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2018-04-11 |