NPI | 1518941079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 028598) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 028598) |
2085N0904X Radiology, Nuclear Radiology (Licence: GA 028598) | |
2085P0229X Radiology, Pediatric Radiology (Licence: GA 028598) | |
2085N0700X Radiology, Neuroradiology (Licence: GA 028598) | |
Enumeration Date | 2005-11-30 |
Last Update Date | 2007-07-08 |