NPI | 1427312628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME151902) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301101314) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME151902) | |
Enumeration Date | 2012-07-02 |
Last Update Date | 2024-01-29 |