| NPI | 1912163791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 50986) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A131824) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-05-10 |