| NPI | 1194342980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MT222269) |
| Additional Taxonomies | 2085N0700X (Licence: PA LT000864) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-07-14 |