NPI | 1710419767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0074610) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CO DR.0074610) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX U3592) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0074610) | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2025-04-03 |