| NPI | 1053696773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OH 35.143138) |
| Additional Taxonomies | 2085R0001X (Licence: PA MD052814L) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD052814L) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2022-02-15 |