NPI | 1194056002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0050293) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 50293) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN 44573) | |
Enumeration Date | 2010-01-18 |
Last Update Date | 2024-06-05 |