| NPI | 1194968487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35095147) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD436606) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-03-13 |