| NPI | 1407841075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 032919) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CT 32919) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2023-09-07 |