NPI | 1316106222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MA 254162) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 280924) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 254162) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2022-07-27 |