NPI | 1508395617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D93464) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017016931) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0116031622) | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2022-08-16 |