NPI | 1639172026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 00842) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 00842) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2021-07-22 |