| NPI | 1699863142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX T7440) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 37766) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-05-16 |