| NPI | 1578529640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.083690) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 20292) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-10-12 |