| NPI | 1275795296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35099868) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125052948) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35099868) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2012-09-12 |