| NPI | 1710121637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: CO DR.0057387) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: OH 35.123664) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2016-10-28 |