NPI | 1861482028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 326143) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 220247) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2023-09-28 |