| 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 |