| NPI | 1659420719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CT 50502) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT186759) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2011-00319) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-07-13 |