| NPI | 1801901889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: FL ME87285) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: DE C10010005) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-03-18 |