NPI | 1831135367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL me82573) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL me82573) |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL me82573) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-06-09 |