NPI | 1447690128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D93597) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10598400) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD463140) | |
Enumeration Date | 2013-06-26 |
Last Update Date | 2022-09-18 |