| NPI | 1366645921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A118367) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 67012) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.152329) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2026-04-23 |