| NPI | 1477832079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.131057) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.131057) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OH 35.131057) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2021-10-05 |