NPI | 1114920907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: TN 30639) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 30639) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2010-01-21 |