| NPI | 1922341585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.139126) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2021-0138) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: KY 50792) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2023-09-29 |