| NPI | 1386062446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.143369) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 55810) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A163002) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-11-08 |