| NPI | 1962793349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: DE C10009824) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME112078) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME112078) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA mt197584) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2017-08-24 |