| NPI | 1457855488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MO 2026017637) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KS 04-52907) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD483997) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2026-07-23 |