| NPI | 1417585191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0077389) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH APP-000450974) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 85219) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-08-03 |