NPI | 1194342980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MT222269) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA LT000864) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2021-07-14 |