| NPI | 1245790666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD70113097) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD70113097) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-06-09 |