| NPI | 1316033525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2004034267) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: MO 2004034267) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-01-09 |