| NPI | 1578729455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.135483) |
| Additional Taxonomies | 2085N0700X (Licence: OH 35.135483) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023010246) | |
| 2085N0700X (Licence: MO 2023010246) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MO 2023010246) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.135483) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2025-04-25 |