| NPI | 1730290214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 77366-20) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD00046911) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-10-25 |