| NPI | 1356648984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: OH 35.121124) |
| Additional Taxonomies | 2085N0700X (Licence: OH 35121124) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 47246) | |
| 2085N0700X (Licence: KY 47246) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: KY 47246) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.121124) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.121124) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2018-02-21 |