NPI | 1639635345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: MD O0000591) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: WV 10202) |
Enumeration Date | 2019-02-18 |
Last Update Date | 2019-02-18 |