NPI | 1174772909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301091133) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301091133) |
2085P0229X Radiology, Pediatric Radiology (Licence: MI 4301091133) | |
Enumeration Date | 2008-09-17 |
Last Update Date | 2018-05-16 |