| NPI | 1376660811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 13001) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301084500) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 13001) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MN 57861) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2025-04-16 |