| NPI | 1366698284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A119378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092760) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.121297) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2018-08-14 |