| NPI | 1356331607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX J9229) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-02523) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J9229) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 14458) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TX 47682) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2024-09-30 |