| NPI | 1932367968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0066289) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 247199) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD445918) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2021-09-03 |