NPI | 1578237731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX TMB744776) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ R78636) |
Enumeration Date | 2021-08-02 |
Last Update Date | 2022-05-23 |