| NPI | 1972824969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: DE C1-0012692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197108) |
| 2085N0700X (Licence: MD D0103290) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA MT197108) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0103290) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2025-04-22 |