| NPI | 1134363146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD451108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT194972) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2014-07-24 |