| NPI | 1558564773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-023338) |
| Additional Taxonomies | 2085N0700X (Licence: CA c24044) |
| 2085N0904X (Licence: CA c24044) | |
| 2085B0100X Radiology, Body Imaging (Licence: OH 35.02338) | |
| 2085N0700X (Licence: OH 35.02338) | |
| 2085N0904X (Licence: OH 35.02338) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OH 35.02338) | |
| 2085B0100X Radiology, Body Imaging (Licence: NC 10811) | |
| 2085N0700X (Licence: NC 10811) | |
| 2085N0904X (Licence: NC 10811) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NC 10811) | |
| 2085B0100X Radiology, Body Imaging (Licence: FL me97147) | |
| 2085N0700X (Licence: FL me97147) | |
| 2085N0904X (Licence: FL me97147) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL me97147) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2010-01-05 |