| NPI | 1285936518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 58073) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A153510) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A153510) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-15973) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2024-01-23 |