| NPI | 1174772909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301091133) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301091133) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MI 4301091133) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2018-05-16 |