| NPI | 1457552127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: DE C1-0012437) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME125424) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME125424) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0012437) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 052745) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD462974) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10243500) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-09-17 |