NPI | 1790983351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 330564-01) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 29915) |
2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL29915) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN 63924) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: SC 29915) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2025-09-25 |