| NPI | 1710942883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: DE C1-0012891) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25ma08047900) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD427993) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-09-21 |