| NPI | 1750577078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0083572) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: MD D0083572) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: LA 332172) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2025-01-17 |