| NPI | 1558866210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.150478) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 59589) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-09-12 |