| NPI | 1265712129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.143229) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 264433) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 331625) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2022-08-10 |