NPI | 1316357932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S4206) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015832) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS19770) | |
Enumeration Date | 2014-05-05 |
Last Update Date | 2023-09-28 |