| NPI | 1871757252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX Q5829) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-052689) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2015-09-10 |