NPI | 1538428800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 294178) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 294178-1) |
Enumeration Date | 2012-05-08 |
Last Update Date | 2023-04-13 |