| NPI | 1356617369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A127335) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A127335) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A127335) | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2024-04-07 |