NPI | 1154391852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TN MD19558) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD19558) |
2085N0904X Radiology, Nuclear Radiology (Licence: TN MD19558) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2013-01-24 |