NPI | 1528684875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 102232) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT020332) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2024-12-04 |