| NPI | 1558654616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301510156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199102) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: GA 078242) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MI 4301510156) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 078242) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2023-10-10 |