| NPI | 1861466096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MO 2011012591) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KS 04-35314) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: IN 01053544A) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: VA 0101244895) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2012-09-05 |