| NPI | 1104890524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0043714) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 43714) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-11-17 |