| NPI | 1033192851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 039265) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: CT 039265) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2011-03-16 |