| NPI | 1316049422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: LA 025297) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD025297) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-07-22 |