| NPI | 1154556348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: DC MD042205) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NM TM2023-0048) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2023-07-28 |