NPI | 1619599776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01084640A) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CT 1.063422-RES) |
Enumeration Date | 2020-05-12 |
Last Update Date | 2022-06-24 |