| NPI | 1851319057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K9129) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35-086062) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-02-25 |