| NPI | 1558504555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: OH 35.126192) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: OH 35.126192) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.126192) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2016-04-22 |