| NPI | 1306838776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C168745) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301066407) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35081106) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 230237) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2023-08-14 |