| 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 |