| NPI | 1578566972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA G174927) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0052267) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2010038689) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX G8606) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G174927) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2024-04-24 |