NPI | 1104270537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD61586073) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61586073) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WA MD61586073) | |
Enumeration Date | 2016-04-22 |
Last Update Date | 2024-09-06 |