| NPI | 1184685240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 047666) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.096441) |
| 174400000X Specialist (Licence: FL ME45360) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G88778) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-07-18 |