| NPI | 1750473591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD052679L) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NJ MA07027600) |
| 2085B0100X Radiology, Body Imaging (Licence: PA MD052679L) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: PA MD052679L) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-04-18 |