| NPI | 1215191325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MI 5101022055) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101022055) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MA 259245) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 259245) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2015-07-16 |