| NPI | 1164714408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: WA MD60541436) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD60541436) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301503375) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2025-01-30 |