| NPI | 1952512121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 44796) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301086603) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 44796) | |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2013-01-14 |