| NPI | 1679717532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.097193) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A111608) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2011-06-21 |