| NPI | 1790941797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD61642432) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61642432) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61642432) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2025-06-10 |