| NPI | 1659562296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-089448) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME98971) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 40901) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D65950) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 234386-1) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2012-04-25 |