| 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 |