| NPI | 1356436109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MA 1020545) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 39387) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.085142) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-01-16 |