| NPI | 1730533316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2021-01118) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: NC 2021-01118) |
| 2085P0229X Radiology Pediatric Radiology (Licence: NM MD2022-0166) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NM MD2022-0166) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-09-12 |