| NPI | 1598931032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TN MD46208) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 225255) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD46208) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2022-03-29 |