| NPI | 1114076502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: DE C10008764) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT029313) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD054174L) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME111342) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NJ 25MA08485300) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-04-18 |