| NPI | 1356631444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: MO 2020012713) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: OH 35.126393) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2022-01-20 |