| NPI | 1346204609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD446989) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35075938) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-01-07 |