NPI | 1578552824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 272744) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 061855) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2022-04-28 |