NPI | 1629205398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME147090) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD455265) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2020-11-19 |