NPI | 1720053788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 307977) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 307977-01) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2023-08-16 |