| NPI | 1578521811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 42098) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: MO 105670) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 051483) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-123977) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0048767) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-01-09 |