| NPI | 1114951571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NE 22397) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2020-1190) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 17816) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2026-06-05 |