| NPI | 1770622730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: CO DR.0052750) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: TX N2920) |
| 208000000X Pediatrics (Licence: NY 235407) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-07-30 |