NPI | 1972587905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0023673) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NC 9800669) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9800669) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 9800669) | |
Enumeration Date | 2005-12-02 |
Last Update Date | 2008-05-15 |