| NPI | 1316799117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD.MD.70109177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD.MD.70109177) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2026-07-08 |