| NPI | 1629132956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MD D0103652) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME144217) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35-086876) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-05-13 |