| NPI | 1902064819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX V5070) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MI 4301091174) |
| 2085N0700X Radiology, Neuroradiology (Licence: NY 292136) | |
| 2085N0700X Radiology, Neuroradiology (Licence: MI 4301091174) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V5070) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2025-02-05 |