NPI | 1972714228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: LA MD.202865) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.202865) |
2085R0202X Radiology, Diagnostic Radiology (Licence: AR E9106) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2024-10-11 |