NPI | 1700894557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 105797) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MO 105797) |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: MO 105797) | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2021-03-31 |