NPI | 1598320079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 45.142956) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 57.246996) |
Enumeration Date | 2019-05-09 |
Last Update Date | 2022-05-17 |