NPI | 1750404380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N3321) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 54674) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2012-06-21 |