| NPI | 1851400618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX R3950) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00047029) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TN 46299) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2026-05-13 |