NPI | 1487282067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 72868) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 85331) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-08-27 |