| NPI | 1992089981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MA 259050) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 259050) |
| 207U00000X Nuclear Medicine (Licence: MA 259050) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2014-07-07 |