NPI | 1770564734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL MD 15782) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 15782) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME91309) | |
Enumeration Date | 2005-11-08 |
Last Update Date | 2016-10-14 |