| NPI | 1215939525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35076026) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35076026V) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2021-04-19 |