NPI | 1235227786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 28834) |
Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: KY 28834) |
2085P0229X Radiology Pediatric Radiology (Licence: KY 28834) | |
2085R0202X Radiology Diagnostic Radiology (Licence: IN 01064345A) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2018-09-07 |