| NPI | 1295894277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 66211) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35088640) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-12-02 |