| NPI | 1205931250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 246089) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A66570) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-05-26 |