| NPI | 1952506859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0051061) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.123458) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125-052630) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 51061) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-11-17 |