| NPI | 1346306354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME149083) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CA C55601) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35088253) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-05-27 |