| NPI | 1093701161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 286807) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME94558) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NJ 25MA10311000) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 286807) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2023-12-28 |