| NPI | 1710208525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: OH 126141) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX P9667) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2015-11-06 |