| NPI | 1598299463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MO 2022017618) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KS 05-47534) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-04-03 |