| NPI | 1376534651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: PA MD429735) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: PA MD429735) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD429735) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2013-04-16 |