| NPI | 1528597655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.154177) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 348009) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-09-16 |