| NPI | 1427263805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 290420) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD428831) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MA 290420) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD428831) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MA MD428831) | |
| 2085B0100X Radiology, Body Imaging (Licence: PA MD428831) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-10-31 |