| NPI | 1548520984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: VA 0101266910) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: DC MD047380) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2023-05-24 |