| NPI | 1467833772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: FL OS16983) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 24753) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-06-01 |