NPI | 1235541285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA OP61072723) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WA OP61072723) |
2085P0229X Radiology, Pediatric Radiology (Licence: MI 5101022176) | |
Enumeration Date | 2014-05-27 |
Last Update Date | 2024-08-29 |