| NPI | 1508897216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: FL ME71982) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: TN 60960) |
| 2085P0229X Radiology Pediatric Radiology (Licence: TN 60960) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-03-19 |