| NPI | 1932460227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MN 70790) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NJ 25MA11082400) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD473160) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A128581) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29220) | |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2022-08-30 |