| NPI | 1154597136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.094435) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: OH 35.094435) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.094435) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2018-05-16 |