| NPI | 1912945437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 49920) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY TP588) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: IN 01046871) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01046871) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2017-06-30 |