NPI | 1932463114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: PA OT018107) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101019669) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS019330) | |
Enumeration Date | 2012-07-02 |
Last Update Date | 2022-07-21 |