| NPI | 1346222312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35055081) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 51780) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2025-02-12 |