| NPI | 1730280462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: NC 36704) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 36704) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-02-09 |