| NPI | 1316921380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G53060) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35086535) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OH 35086535) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G53060) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2021-09-20 |