| NPI | 1790868156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MD D50066) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR0057322) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2023-04-19 |