NPI | 1932561180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: MO 2021050871) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2017016689) |
2085R0202X Radiology Diagnostic Radiology (Licence: MO 2021050871) | |
Enumeration Date | 2016-03-27 |
Last Update Date | 2022-08-16 |