NPI | 1568530202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0051642) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: MI 4301070435) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301070435) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2023-07-27 |