| NPI | 1235168105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101233225) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: VA 0101233225) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35087651) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-04-27 |