| NPI | 1669430450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0054931) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35087287) |
| 208D00000X General Practice (Licence: CO DR.0054931) | |
| 208D00000X General Practice (Licence: MA 216533) | |
| 208D00000X General Practice (Licence: OH 35087287) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-11-23 |