NPI | 1841405248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 34.010229) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: PA OT013440) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 58-002269) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2018-10-30 |