| NPI | 1174573992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN MD43654) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35043632) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-02-09 |