| NPI | 1235541285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WA OP61072723) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: MI 5101022176) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-04-25 |