| NPI | 1801070750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A86701) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 53232) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TN 53019) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 53019) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-01-03 |