| NPI | 1942732888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A176455) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: CA A176455) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-09-01 |