NPI | 1851418990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301086245) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: MA 243125) |
2085P0229X Radiology, Pediatric Radiology (Licence: MI 4301086245) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2022-07-21 |