NPI | 1346775632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101279039) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51239) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2024-02-19 |