NPI | 1336706142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X (Licence: SC 94061) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-11478) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2025-05-27 |