| NPI | 1407048697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MN 50424) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 099578) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2014-04-26 |