| NPI | 1306074448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0057404) |
| Additional Taxonomies | 2085N0700X (Licence: CO DR.0057404) |
| 2085N0904X (Licence: CO DR.0057404) | |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2026-05-27 |