NPI | 1962821009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 80688) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61025413) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2020-07-27 |