NPI | 1912389008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 2970) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264427) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 68778) | |
Enumeration Date | 2015-06-24 |
Last Update Date | 2022-01-25 |