| NPI | 1205024403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 61 003965) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD60147880) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NY 269105) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2023-07-06 |