NPI | 1750649679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 139666) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036146236) |
Enumeration Date | 2012-04-28 |
Last Update Date | 2021-04-01 |