| NPI | 1972559946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 42489) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 40430) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA G87591) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-03-17 |