| NPI | 1992930390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: NY 284380-1) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 284380) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2017-05-09 |