NPI | 1467617126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.093145) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 57289) |
2085P0229X Radiology, Pediatric Radiology (Licence: MO 2016025902) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.093145) | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2023-11-06 |