| NPI | 1154399988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-092719) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 31295) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2012-12-27 |