| NPI | 1043283385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 326479) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME112810) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 326479) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-01-05 |