| NPI | 1598996878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 64597) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 81-000089) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2015-10-30 |