NPI | 1639708886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 77538) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1016628) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2025-09-26 |