| NPI | 1386821734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 44538) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.094695) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TX 44538) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2014-04-14 |