| NPI | 1902253966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: GA 88587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210764) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2022-03-29 |