| NPI | 1578540480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD00038515) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: ID M-12399) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00038515) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-12399) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2019-07-29 |