| NPI | 1780170035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: PA MD484345) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 276904) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-06-21 |