NPI | 1477014397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301514669) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023048939) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2025-09-02 |