| NPI | 1235140971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX M3957) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 46677) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-11-16 |