| NPI | 1023265139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX P1965) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 094881) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2021-12-06 |