NPI | 1619268448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NY 266209) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D83372) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 266209) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2019-02-27 |