| NPI | 1386620276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34009231) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: CA 20A8862) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2012-12-27 |