| NPI | 1700178225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 267477) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MT210359) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2023-04-13 |