NPI | 1902330194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A201684) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD210011586) |
2085R0202X Radiology Diagnostic Radiology (Licence: MD D97070) | |
Enumeration Date | 2017-04-14 |
Last Update Date | 2025-07-02 |