| NPI | 1437182870 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 54245) | 
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0064633) | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0023879) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A75094) | |
| Enumeration Date | 2006-07-09 | 
| Last Update Date | 2024-01-09 |