| NPI | 1588621775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD015197E) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD015197E) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-09-18 |