| NPI | 1417110461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD459411) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P7163) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME118748) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NJ 25MA10023300) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: DE C10011787) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME118748) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2017-02-23 |