NPI | 1134354335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 270564) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 043283573) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2025-09-11 |