| NPI | 1366609570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS16267) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: GA 68763) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 58.002646) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2020-09-02 |