NPI | 1174534341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A87806) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 239960-1) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2019-05-16 |