| NPI | 1295705630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: OH 35C.000242) |
| Additional Taxonomies | 2085R0001X (Licence: MD doo63905) |
| 2085R0001X (Licence: KY 51193) | |
| 2085R0001X (Licence: ID MC-0720) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-10-16 |