| NPI | 1417939877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: OH 35064945) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 51547) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-09-27 |