| NPI | 1275851636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35128766) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY IP1282) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2016-05-24 |