| NPI | 1033345764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MA 240833) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 257873) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2010-09-13 |