| NPI | 1386115392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 999999) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 99) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |