NPI | 1740712868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 05318) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: KY R4403) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2023-05-24 |