| NPI | 1942578125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 56622) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NC 2022-02984) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TX K5896) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME146037) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2023-12-13 |