NPI | 1982135711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 71717) |
Additional Taxonomies | 2085N0904X (Licence: WI 71717) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2025-09-15 |