| NPI | 1144508854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301090266) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TN MD0000051492) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2014-07-31 |