| NPI | 1316120355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 261366) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 58002653) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-01-22 |