| NPI | 1093820730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 100318-875) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 54567) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-05-26 |