NPI | 1962748574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 007167) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS12901) |
Enumeration Date | 2012-12-31 |
Last Update Date | 2020-11-06 |