| NPI | 1508026881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.139974) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 54074) |
| 174400000X Specialist (Licence: NY 254713) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.139974) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD16135) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-11-01 |