| NPI | 1255413852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A111302) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0048992) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NC 2005-00143) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A111302) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200500143) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-04-05 |