| NPI | 1891025722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD70037029) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD70037029) |
| 2085N0700X (Licence: WA MD70037029) | |
| Enumeration Date | 2009-12-25 |
| Last Update Date | 2025-09-15 |