NPI | 1184043648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA T289788) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 266987) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2021-08-13 |