NPI | 1942594718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10616600) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0095220) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61182009) | |
Enumeration Date | 2011-06-08 |
Last Update Date | 2025-05-19 |