NPI | 1801890850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00030894) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD19047) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2012-08-30 |