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 |