| NPI | 1467972562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2017019531) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017019531) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |