| NPI | 1356549562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME123308) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 41755) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 81.000106-MD) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-04-18 |