| NPI | 1336463090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101254226) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: VA 0101254226) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2022-01-18 |