| NPI | 1265936082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: OH 35.150353) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023008598) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-07-10 |