| NPI | 1295024941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.131707) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 57815) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: KY 56818) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2023-11-06 |