| NPI | 1467957894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301511595) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MI 4301511595) |
| 2085B0100X Radiology, Body Imaging (Licence: OH 35.15809) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-150809) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-12-18 |