| NPI | 1003137787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: DE C1-0013562) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101250794) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BP10041296-559444) | |
| 208600000X Surgery (Licence: PA MT197364) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-07-30 |