| NPI | 1528216249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 46299) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA FE60025721) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2018-01-23 |