| NPI | 1306049499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A108096) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: MA 251010) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A108096) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-07-03 |