NPI | 1548351323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD073719L) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: PA MD073719L) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2008-08-01 |