NPI | 1235270414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD61025342) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD186193) |
2085R0202X Radiology Diagnostic Radiology (Licence: IN 01060978A) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-07-01 |