NPI | 1699928150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 44899) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 40136) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2021-08-09 |