NPI | 1356331607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 14458) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J9229) |
2085P0229X Radiology, Pediatric Radiology (Licence: TX 47682) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-02523) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2024-04-01 |