| NPI | 1801809504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C139262) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CA C139262) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD00045491) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00045491) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-11-29 |