NPI | 1750685806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S3157) |
Additional Taxonomies | 2085N0700X (Licence: NY 287235) |
2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD20745) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 249587) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 049615) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME115073) | |
Enumeration Date | 2011-01-04 |
Last Update Date | 2025-08-11 |