NPI | 1548516131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 89405) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060988) |
2085B0100X Radiology, Body Imaging (Licence: CA A127394) | |
Enumeration Date | 2012-08-01 |
Last Update Date | 2025-05-28 |