NPI | 1750674883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 50228) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY R3094) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2021-12-21 |