| NPI | 1669490678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085N0700X Radiology Neuroradiology | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-09-11 |