NPI | 1417337601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD17646) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263241) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 287968) | |
Enumeration Date | 2015-06-03 |
Last Update Date | 2023-01-30 |