NPI | 1558654616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301510156) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199102) |
2085P0229X Radiology, Pediatric Radiology (Licence: GA 078242) | |
2085P0229X Radiology, Pediatric Radiology (Licence: MI 4301510156) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: GA 078242) | |
Enumeration Date | 2011-05-24 |
Last Update Date | 2023-10-10 |