| NPI | 1568668796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.093721) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 43215) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-01-24 |