| NPI | 1053545863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD462073) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: WI 54640) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 54640) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2017-09-05 |