| NPI | 1629034038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MD D25258) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D25258) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-09-07 |