| NPI | 1659557338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 2853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 002853) |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2019-05-06 |