NPI | 1518408723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A190092) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291655) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 275704) | |
Enumeration Date | 2017-03-20 |
Last Update Date | 2025-05-17 |