| NPI | 1306979935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.087928) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 40929) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-11-01 |