| NPI | 1356029821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL MFC1891) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL MFC1891) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-09-18 |