NPI | 1245347988 |
---|---|
Former Name | SUSAN WHITE BRAUNSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 21752) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01036403) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2013-01-11 |