| NPI | 1659330124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 25.000309) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: WI 47282) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD18116) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 285857) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2021-09-21 |