| NPI | 1295785996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2008011488) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: KS 33165) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35082227) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-12-01 |