| NPI | 1679511828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9900801) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NE 20498) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 20498) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-05-05 |